Provider Demographics
NPI:1164825287
Name:ALVAREZ REIGSTAD OPTOMETRY, P.C.
Entity Type:Organization
Organization Name:ALVAREZ REIGSTAD OPTOMETRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LUISA
Authorized Official - Middle Name:RAHELL
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:951-312-9596
Mailing Address - Street 1:2109 GOLD AVE SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4005
Mailing Address - Country:US
Mailing Address - Phone:951-312-9596
Mailing Address - Fax:
Practice Address - Street 1:500 EUBANK BLVD SE
Practice Address - Street 2:SUITE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-3338
Practice Address - Country:US
Practice Address - Phone:505-323-2555
Practice Address - Fax:505-323-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM585152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty